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Company | The Woodland, Inc | Farmville, VA |
Address | Blackstone, VA, United States |
Employment type | FULL_TIME |
Salary | |
Category | Internet Publishing |
Expires | 2023-05-10 |
Posted at | 1 year ago |
MAJOR PURPOSE: To promote the capture of appropriate clinical reimbursement for services provided while ensuring highest level of revenue integrity under the guidance of corporate established reimbursement initiatives.
- Ability to conduct themselves with a fair, honest, consistent, and professional temperament.
- Computer literacy (Word, Excel, Power Point, Outlook). Experience with current EMR software a plus.
- Ability to successfully train new MDS coordinators and IDT members with varying levels of experience as appropriate.
- Working knowledge of state and federal regulations governing the MDS and billing processes in the LTC setting.
- Deadline driven, detail-oriented individual with strong analytical capabilities.
- Evidence of effective written, verbal and technological communication.
- Ability to apply knowledge in state specific Medicaid and Medicare RUG methodologies.
- Ability to communicate with and elicit support from IDT members at the facility, regional, and corporate level.
- Demonstrates excellent organization, communication and presentation skills.
- Registered nurse with 3+ years reimbursement or similar experience in the LTC industry (preferred).
- Must have finger, hand, leg, and arm dexterity (one leg/foot prosthesis acceptable).
- Can see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met.
- Ability to cope with the mental, emotional, and physical stress of this deadline driven position.
- Must function independently, have flexibility, personal integrity, and the ability to work effectively with residents, personnel, support agencies, and outside agencies.
- Must be in good health and display emotional stability.
- Effectively communicates documentation pitfalls to department heads, facility leadership as appropriate.
- Promotes, encourages, and facilitates accurate IDT documentation that is representative of the care each patient receives.
- Assists IDT with interpretation, education and process development as relates to Quality Measure management as appropriate.
- Participates in the interview process for new MDS coordinators as requested/appropriate.
- Ensures compliance for all aspects of revenue integrity including but not limited to Physician Certification/Recertification and Denial letters regardless of responsibility to directly issue/manage these tasks.
- Coordinates care plan schedules.
- Develops comprehensive care plans per federal regulation based on data collection, MDS and CAA completion and resident/staff interviews as necessary/appropriate.
- Serves/Aspires to serve, as the subject matter expert in regard to MDS completion and its impact on quality of care and revenue.
- Other related duties as assigned.
- Provides facility level presentation/education relevant to primary job functions during monthly/quarterly meetings as appropriate.
- Provides ongoing education and communication to Administrator, clinical and other ancillary staff as relates to current state and federal regulation governing billing and reimbursement or impending changes.
- Ensures IDT updates/revisions of the comprehensive Care plan with each MDS completion.
- Optimizes reimbursement and identifies opportunity through tracking, trending, and analyzing relevant data within the medical record and through staff, resident, and practitioner interviews as necessary.
- Assists with orientation and education of MDS coordinators and IDT members as relates to MDS completion and/or reimbursement processes as necessary.
- Coordinates and provides strategic Assessment Reference Date (ARD) and completion dates as outlined in Chapter 2 of the Resident Assessment Instrument (RAI) and in accordance with state and federal payment methodologies.
- Responds promptly to facility and regional team inquiry and communication related to MDS, reimbursement and billing processes.
- Chairs revenue related daily/weekly/monthly revenue related meetings such as Daily Revenue, Weekly Medicare/CMI, and Triple Check meetings.
- Collects data to ensure/contribute to the accurate completion and transmission of all required MDS assessments per regulatory guidelines.
- Health Insurance
- Wellness Program
- Paid Time Off
- Accident coverage, Hospital Indemnity coverage, Critical Illness coverage
- Dental Insurance
- Basic Term Life and AD&D Insurance & Voluntary Term Life and AD&D Insurance
- Vision Insurance
- 401(k)
- Educational Assistance for full-time or part-time employees pursuing educational opportunities that will increase the employee’s qualifications and skills in the nursing field, such as an LPN or RN.
- Disability Insurance
- 8 hour
- Bachelor's (Preferred)
- Associate's
- Skilled Nursing Home LTC: 2 years (Preferred)
- MDS: 2 years (Preferred)
- State licensure as a Registered Nurse (RN) or Licensed Practical Nurse (LPN)
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